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To the Editor:
—From time to time articles appear in the journals on the treatment of laryngeal tuberculosis, and it seems strange that so little importance is attached to total nonuse of the voice. In fact, authors generally seem to take it for granted that partial or complete rest will be required; but even so eminent an authority as Ballenger does not even mention it in his textbook. In my experience, absolute rest from phonation has produced far better results than any local applications. In an article on "Rest in the Treatment of Laryngeal Tuberculosis" read before the American Laryngological Association in 1905 (Tr. Am. Laryngol. Assn., p. 149; Am. Jour. Med. Sc., 1905, 131, 300), stress was laid on the necessity for absolute rest in the successful treatment of this intractable malady. Since then cases have been reported in which the larynx was rested from three to eighteen months
Porcher WP. REST FROM VOCALIZATION IN THE TREATMENT OF LARYNGEAL TUBERCULOSIS. JAMA. 1917;LXIX(15):1291. doi:10.1001/jama.1917.02590420083029